CPAN Exam Study Questions

CPAN Exam Study Questions The dissociative state attributed to ketamine anesthesia can be modified by the administration of a/an: 1. antiarrhythmic. 2. benzodiazepine. 3. antagonist. 4. anticonvulsant. - 2. benzodiazepine A patient complains of dyspnea and chest pain after the insertion of a central-line catheter. The patient's breath sounds are diminished. After physician notification, the priority nursing action is to: 1. prepare for the insertion of a chest tube. 2. obtain an order for analgesic. 3. apply a positive-pressure airway ventilator. 4. prepare for immediate removal of the central line. - 1. prepare for the insertion of a chest tube. A potential negative side effect of positive end-expiratory pressure (PEEP) is: 1. alveolar collapse. 2. decreased intrapulmonary shunting. 3. increased cardiac output. 4. hypertension. - 2. decreased intrapulmonary shunting. A patient who speaks limited English is preparing for gallbladder surgery. The perianesthesia nurse is aware that the appropriate interpreter to utilize for this patient is: 1. an interpreter who is married to the patient's sister. 2. an interpreter who has a contract with the facility. 3. the patient's English-speaking husband. 4. the patient's bilingual significant other. - 2. an interpreter who has a contract with the facility. Surgery is scheduled for 0830. The patient reports drinking 6 ounces of water at 0600 with medications. Following American Society of Anesthesiologists (ASA) minimum fasting guidelines for n.p.o., the perianesthesia nurse: 1. continues with the preoperative check-in process. 2. medicates the patient for nausea. 3. informs the patient that the case may be cancelled. 4. notifies the surgeon. - 1. continues with the preoperative check-in process. A patient in the PACU following hip arthroplasty complains of numbness to toes of affected extremity. The patient has most likely sustained an injury to the: 1. peroneal nerve. 2. femoral artery. 3. Achilles tendon. 4. sciatic nerve. - 1. peroneal nerve. A perianesthesia nurse is providing discharge instructions to a patient who asks questions about the phenazopyridine prescription. The nurse explains that it: 1. needs to be taken on an empty stomach. 2. provides relief from urgency and burning sensation. 3. helps minimize bleeding and formation of blood clots. 4. treats bacteria present in the urinary tract. - 2. provides relief from urgency and burning sensation. The most common type of reaction to latex-containing products is a/an: 1. desensitizing allergic reaction. 2. Type IV reaction. 3. Type I reaction. 4. irritating nonallergic reaction. - irritating nonallergic reaction. Which of the following nursing interventions is most effective for a patient with a history of postoperative nausea and vomiting? Providing ice chips Administering ranitidine Prevention Avoiding administration of analgesics - Prevention In a patient status post thyroidectomy, the perianesthesia nurse would anticipate postoperative signs of thyrotoxic crisis to include: hyponatremia. hypothermia. tachycardia. bradycardia. - tachycardia. A 35-year-old patient arrives in the Phase I PACU crying and repeatedly asks, "Can't my mother come in here with me?" The perianesthesia nurse: informs the patient that visitation is prohibited in the PACU. reassures the patient and administers an analgesic. allows a brief visit at a time appropriate for patient, visitors, and staff. sedates the patient secondary to postanesthetic confusion. - allows a brief visit at a time appropriate for patient, visitors, and staff. A patient with streptococcal group A